急性脑出血心肌酶与心电图的变化(1)
 |
| 第1页 |
参见附件(1884KB，2页)。
[摘要] 目的 探讨急性脑出血患者心肌酶与心电图的变化及临床意义。方法 对120例急性脑出血患者(脑出血组)和60例健康体检者(正常对照组)在入院后测定心肌酶，常规12导联心电图检查并进行动态观察，两组进行比较。结果 与正常对照组相比，脑出血组心肌酶显著升高(P<0.01)；120例急性脑出血患者中98例出现心电图异常改变(占81.7%)，主要表现为心室复极异常、心律失常及类心梗样改变。其中以ST-T改变最为常见，异常心电图死亡率明显高于正常心电图死亡率，以室性心律失常及类心梗样改变死亡率最高。结论 脑出血急性期心肌酶升高及心电图异常提示有心肌损害，常系脑心综合征所致，两者的监测对指导临床治疗及评价预后起着重要作用。
[关键词] 脑出血；心肌酶；心电图
[中图分类号] R743 [文献标识码] B [文章编号] 1673-9701(2011)35-132-02
Changes of Myocardial Enzymes and ECG in Acute Cerebral Hemorrhage Patients
LI Yunxia
Yun County Hospital of Traditional Chinese Medicine of Shiyan City in Hubei Province，Yuncounty 442500，China
[Abstract] Objective To investigate the changes and clinical significance of myocardial enzyme and electrocardiogram in patients with acute cerebral hemorrhage. Methods All of 120 cases of acute cerebral hemorrhage patients and 60 healthy subjects after admission were determined myocardial enzymes. Compared the two groups′conventional 12 lead ECG examination and dynamic observation of myocardial enzymes. Results Compared with the control group，cerebral hemorrhage group of myocardial enzyme increased significantly(P<0.01)，120 cases of acute cerebral hemorrhage patients with abnormal electrocardiogram changes occurred in 98 cases(81.7%)，mainly showed ventricular repolarization abnormalities in cardiac arrhythmias and similarly myocardial infarction change. With ST-T change the most common abnormal electrocardiogram ECG， mortality rate was higher than the normal mortality，with ventricular arrhythmias and myocardial infarction like changes in mortality was the highest. Conclusion Cerebral hemorrhage during the acute phase of myocardial enzyme elevation and ECG abnormalities are suggestive of myocardial damage，often of brain heart syndrome induced by. Their monitoring plays an important role in guiding the clinical treatment and prognosis evaluation
[Key words] Cerebral hemorrhage；Myocardial enzyme；Electrocardiogram
随着人民生活水平的提高及人口的快速老龄化，社会脑血管发病率明显增高，因其死亡率、致残率高已受到广泛关注。尤其是脑出血对心脏的影响，日益引起临床医师的重视。本文通过对脑出血患者急性期心肌酶、心电图的变化，旨在探讨两者在脑出血疾病中发生机制及临床意义，现报道如下。
1 资料与方法
1.1 研究对象
本研究选择2007～2010年我院收治的120例急性脑出血患者的临床资料，所选病例均符合1995年全国第四届脑血管病学术会议修订的诊断标准[1] ......
您现在查看是摘要介绍页，详见PDF附件(1884KB，2页)。